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David Wieder, CMHC
NPI 1598143703 · on the registry since 2015
Practice
- Address
- 1764 W Aspen Lane
Loa, UT 84747 - Phone
- (505) 231-5031
- Organisation at this address
- Legacy Treatment Center Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 101YM0800X
101YM0800X - Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-07-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah